| Southern Louisiana Behavior Consultants Llc | |
|
111 Energy Pkwy Lafayette LA 70508-3817 | |
| (337) 270-8585 | |
| Not Available |
| Full Name | Southern Louisiana Behavior Consultants Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 111 Energy Pkwy, Lafayette, Louisiana |
| Authorized Official Name and Position | Kimberly Borman (OWNER - CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3375526767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Louisiana Behavior Consultants Llc 100 Harton Rd Youngsville LA 70592-6386 Ph: (337) 552-6767 | Southern Louisiana Behavior Consultants Llc 111 Energy Pkwy Lafayette LA 70508-3817 Ph: (337) 270-8585 |
| NPI Number | 1417563370 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 06/27/2023 |
| Certification Date | 06/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417563370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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